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General NPI Number Information
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NPI Number | 1861755456
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Entity Type | Individual
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Provider Name | ASHLEY ELIZABETH HURLEY
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 2401 NW 23RD ST STE 204
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-2431
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Country | US
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Telephone | 405-283-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 NW 24TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-1905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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